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General NPI Number Information
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NPI Number | 1568868818
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Entity Type | Organization
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Legal Business Name | HOSPICE OF HOPE
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Dates
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Enumeration Date | 11/14/2014
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 230 MEDICAL CENTER DR
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City | SEAMAN
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State | OH
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Zip | 45679-8002
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Country | US
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Telephone | 937-386-3030
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Fax | 937-386-3049
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Provider Business Mailing Address
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Address Line | 909 KENTON STATION DR
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City | MAYSVILLE
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State | KY
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Zip | 41056-9616
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Country | US
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Telephone | 606-759-4050
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Fax | 606-759-1207
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DEREK SHAWN FLAUGHER
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Credential |
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Telephone | 606-759-4050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number | 0102HSP
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License Number State | OH
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